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General NPI Number Information
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NPI Number | 1346372232
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Entity Type | Organization
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Legal Business Name | ARIBBE A. MARTIN, MD, PSC
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 225 MEDICAL CENTER DR SUITE 209A
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City | PADUCAH
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State | KY
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Zip | 42003-7914
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Country | US
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Telephone | 270-441-4506
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Fax | 270-441-4377
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Provider Business Mailing Address
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Address Line | 2401 NEW HOLT RD
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City | PADUCAH
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State | KY
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Zip | 42001-7455
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Country | US
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Telephone | 270-441-4506
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Fax | 270-441-4377
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Authorized Official
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Title or Position | DIRECTOR
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Name | ARIBBE A MARTIN
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Credential | MD
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Telephone | 270-441-4506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 36761
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License Number State | KY
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